Unionized workers say they are fighting for higher pay and better working conditions, including improved nurse-to-patient ratios.

The strike comes on the eve of Trump’s inauguration and the impending escalation of attacks on public health, medical workers and the working class as a whole.

The largest health care strike in Oregon history began early Friday at Providence facilities across the state, as roughly 5,000 frontline health professionals walked off the job. The strike — which includes thousands of nurses along with 150 doctors and advanced practitioners — spans Providence’s eight hospitals in the state and six women’s clinics.